Board of Directors Candidacy Application

Candidacy Application

Submission of this application confirms that all this information is true. Candidates must be 18 years of age or older. For the longer questions at the end, you may want to write your answers in a text editor, then paste them into the form fields here.

Name *

Address *

Phone Number *

Email Address *

Occupation *

Current Employer *

Include the date employment started with this employer

Previous Employer *

Include start/end dates of employment with this employer

Are you willing to serve on a Board Committee? *

Yes

No

Can you give 6-10 hours a month to Board/Committee matters? *

Yes

No

Membership in Professional Organizations: (AMA, etc.)

For each, please give the organization name, position held, and dates when you were involved with that organization.

Involvement with Community Organizations. (Rotary, non-profits)

Why do you wish to serve as a Director of Access Tucson? *

What expertise or special qualifications do you possess which you feel would be important to Access Tucson? What fundraising skills will you bring to the Board? *